NPI | 1851390249 |
---|---|
Former Name | CONSTANCE ANNE BORGFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: GA 096598) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: KY 1051142) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2007-07-08 |