| NPI | 1629246574 |
|---|---|
| Former Name | CHARLSIE ELIZABETH FERGUSON / PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP116578) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP116578) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP116578) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2025-04-05 |