NPI | 1750342895 |
---|---|
Other Name | GINA LUIKA WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15808) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 332685) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2025-10-03 |