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 |