| NPI | 1063772929 |
|---|---|
| Former Name | ELIZA KATHERINE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CO DR.0062640) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 62110-20) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 62110-20) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2019-11-05 |