| NPI | 1043792385 |
|---|---|
| Former Name | GRACE FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024184039) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DC RN1029956) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-04-07 |