NPI | 1104141753 |
---|---|
Former Name | ANNE E DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A141981) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A1419981) |
207Q00000X Family Medicine (Licence: WA MD60331748) | |
208D00000X General Practice (Licence: WA AP60331748) | |
207Q00000X Family Medicine (Licence: WA 60331748) | |
207Q00000X Family Medicine (Licence: UT 8159260-1205) | |
Enumeration Date | 2010-04-06 |
Last Update Date | 2018-04-09 |