| NPI | 1861565251 |
|---|---|
| Former Name | CAROLYN DAWN WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2820) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ RN147798) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2023-02-03 |