| NPI | 1932350006 |
|---|---|
| Former Name | MELINDA FERGUSON EGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD60205189) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML20008899) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2021-05-18 |