NPI | 1083047716 |
---|---|
Former Name | AMIE E DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004651A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28169156A) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2014-04-22 |