NPI | 1326437849 |
---|---|
Former Name | COURTNEY LYNN FORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 749590) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2019-03-06 |