| NPI | 1053844365 |
|---|---|
| Former Name | ELLEN DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 83116) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK 83116) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-06-28 |