NPI | 1770695827 |
---|---|
Former Name | DEBORAH WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G116536) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F4007271) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2009-02-04 |