| NPI | 1891039665 |
|---|---|
| Former Name | KRISTE N ELYSE FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 003667) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060816) |
| 363A00000X Physician Assistant (Licence: PA OA004988) | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2023-06-26 |