NPI | 1144639139 |
---|---|
Former Name | SARAH DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1014348) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171939) |
Enumeration Date | 2014-08-05 |
Last Update Date | 2018-10-16 |