| 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 |