| NPI | 1699012567 |
|---|---|
| Former Name | BLAIR WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5006063) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5006063) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5006063) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5006063) | |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2021-03-30 |