NPI | 1689184038 |
---|---|
Former Name | JULIE WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135388) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 712620) |
Enumeration Date | 2017-10-11 |
Last Update Date | 2022-02-11 |