| NPI | 1437892239 |
|---|---|
| Former Name | SABRA NELIA FORDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN224055) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA RN224055) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2025-07-24 |