| NPI | 1598722548 |
|---|---|
| Former Name | SUSANNAH P FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101242052) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101242052) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 04-30821) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2001016343) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-04-25 |