NPI | 1811386196 |
---|---|
Former Name | STEPHANIE WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL ARNP9471350) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN244436) |
Enumeration Date | 2015-01-09 |
Last Update Date | 2017-11-16 |