| NPI | 1972104479 |
|---|---|
| Former Name | ELIZABETH ROSE FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-146153) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AL 1-146153) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |