| NPI | 1679037444 |
|---|---|
| Other Name | LATRAE CAMPBELL WOODBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22659) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015386) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11017086) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2025-02-15 |