| NPI | 1952025959 |
|---|---|
| Former Name | CANDIS H WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1090330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 1090330) |
| 208200000X Plastic Surgery (Licence: TX 1090330) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2023-08-09 |