NPI | 1215686571 |
---|---|
Former Name | ELIZABETH FORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA 233018) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA 233018) |
Enumeration Date | 2022-03-22 |
Last Update Date | 2023-12-20 |