| NPI | 1497067581 |
|---|---|
| Former Name | CHRISTINA M FAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1540) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002109) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2019-11-13 |