| NPI | 1992743694 |
|---|---|
| Former Name | PAULA CONETTE FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL 1649482) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-08 |