| NPI | 1033874508 |
|---|---|
| Former Name | SYDNEY LEE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 8382) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2024-05-02 |