| NPI | 1952514226 |
|---|---|
| Former Name | AUTUMN FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: DC MD042114) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: VA 0101241760) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-11-30 |