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 |