NPI | 1912321589 |
---|---|
Former Name | SARAH A. FORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18515) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 149860) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2024-03-27 |