NPI | 1962793075 |
---|---|
Former Name | CANDICE LEIGH WOODCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D79900) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101258230) |
Enumeration Date | 2011-04-23 |
Last Update Date | 2021-06-01 |