NPI | 1114417292 |
---|---|
Former Name | SOPHIA ANNE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD222939) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61144353) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD222939) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61144353) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD222939) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61144353) | |
Enumeration Date | 2018-05-15 |
Last Update Date | 2025-03-04 |