NPI | 1023828324 |
---|---|
Former Name | SHARONDA FERGUSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: FL 9244415) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: FL 9244415) |
Enumeration Date | 2025-01-09 |
Last Update Date | 2025-01-09 |