NPI | 1649770850 |
---|---|
Other Name | MARY ELIZABETH FERRALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78091) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2010025650) |
Enumeration Date | 2018-02-14 |
Last Update Date | 2018-04-03 |