| NPI | 1174962591 |
|---|---|
| Former Name | FENEISHA FERVIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC LL35910) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: SC 35910) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-06-25 |