| NPI | 1760623391 |
|---|---|
| Former Name | MELISSA DEWITTE FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D114972) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 114972) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2011-05-19 |