NPI | 1134498082 |
---|---|
Former Name | FREDDIE REED- DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 1016323) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209003969) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 5182) | |
Enumeration Date | 2011-12-21 |
Last Update Date | 2021-01-05 |