| NPI | 1730306408 |
|---|---|
| Former Name | EBONIQUE FARRAH BROWN WOODS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 84641) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC MD35024) |
| 207L00000X Anesthesiology (Licence: NC 2012-01406) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: GA 002293) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-01-15 |