NPI | 1891802716 |
---|---|
Former Name | KATHY FERGUSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A13823) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q1380) |
207P00000X Emergency Medicine (Licence: NY 238647) | |
Enumeration Date | 2006-08-24 |
Last Update Date | 2021-12-22 |