| NPI | 1558817130 |
|---|---|
| Former Name | CHRISTINA MARIE FAUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008493) |
| Additional Taxonomies | 208800000X Urology (Licence: CA PA62231) |
| 363AS0400X Physician Assistant, Surgical (Licence: PA ma058603) | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-08-06 |