| NPI | 1619658879 |
|---|---|
| Former Name | MADISON FAITH FERRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |