NPI | 1285974923 |
---|---|
Former Name | JANET SUE FERGUSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 200530443LPN) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 122652) |
Enumeration Date | 2013-02-17 |
Last Update Date | 2019-08-12 |