NPI | 1003426149 |
---|---|
Former Name | JOSEPHINE P. FERREL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4704287340) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020741) |
Enumeration Date | 2020-08-04 |
Last Update Date | 2025-01-03 |