| NPI | 1275868630 |
|---|---|
| Former Name | CARLY M FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704244365) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2011-06-03 |