| NPI | 1902241110 |
|---|---|
| Former Name | JENNIFER FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000100) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 585346) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2021-10-22 |