NPI | 1962856138 |
---|---|
Former Name | KRISTIN JORDAN WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 58599) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-04-14 |
Last Update Date | 2019-06-04 |