| NPI | 1326320656 |
|---|---|
| Former Name | JACI R FAUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71003660A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28174021A) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2024-09-11 |