NPI | 1235694183 |
---|---|
Former Name | CATHERINE M FAUST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 235319) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001176) |
Enumeration Date | 2019-02-05 |
Last Update Date | 2020-04-16 |