| NPI | 1366138620 |
|---|---|
| Other Name | AUDRA STALEY FAVANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-20553) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E-20553) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2026-06-03 |