| NPI | 1043442049 |
|---|---|
| Former Name | LINNEA DESIREE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25578) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 561005) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2022-02-10 |