| NPI | 1013225333 |
|---|---|
| Former Name | DEVON NICHOLE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.10213) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: KY 2280) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2023-07-28 |