| NPI | 1285063347 |
|---|---|
| Former Name | COURTNEY FERRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7209-23) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2023-07-12 |