| NPI | 1043761984 |
|---|---|
| Former Name | EVETTE LEMILLE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA CN0014238439) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2026-03-10 |