| NPI | 1124655253 |
|---|---|
| Former Name | REBECCA LYNN FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: KS 94-12120) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301514273) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-09-10 |