| NPI | 1376898650 |
|---|---|
| Former Name | AMY GOLD BASSFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R178740) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC001045) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2019-05-30 |