| NPI | 1780978890 |
|---|---|
| Former Name | ELIZABETH ANNE FOARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2014-00558) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 173363) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2014-08-11 |