NPI | 1023166683 |
---|---|
Other Name | DONNA P. DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C36533) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 123058) |
207Q00000X Family Medicine (Licence: WI 40754-020) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2013-11-05 |