| NPI | 1255404265 |
|---|---|
| Former Name | MARY ELLEN EHMAN-FAUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 10487) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 8167) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-03-12 |