| NPI | 1255716320 |
|---|---|
| Former Name | FATIMA M. FAROOQI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006448) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 4759-23) |
| 363A00000X Physician Assistant (Licence: AZ 6082) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-02-06 |