NPI | 1386895860 |
---|---|
Former Name | KATHLEEN ANN GORHAM-FORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024171732) |
Enumeration Date | 2008-10-02 |
Last Update Date | 2022-07-21 |