| NPI | 1861454381 |
|---|---|
| Former Name | VIRGINIA KATHLEEN FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1189957) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 648218) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2025-02-03 |