| NPI | 1013240027 |
|---|---|
| Former Name | LATANYA B. DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 475135-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 475135) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2019-06-12 |