| NPI | 1295524312 |
|---|---|
| Other Name | FAITH MARIE ERICSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 94-12257) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-08-21 |