| NPI | 1659891059 |
|---|---|
| Former Name | MERIDETH FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 41067) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL41067) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |