| NPI | 1144922238 |
|---|---|
| Former Name | OLIVIA PATRICE FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 143945) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 134912) |
| 363L00000X Nurse Practitioner (Licence: CT 12087) | |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-04-08 |