| NPI | 1285959064 | 
|---|---|
| Former Name | JENNIFER B FORD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC MD36755)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2010-04-05 | 
| Last Update Date | 2020-11-16 |