| NPI | 1265745558 |
|---|---|
| Other Name | NICOLE THERESE FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003646A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003646B) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2022-08-16 |