NPI | 1144870585 |
---|---|
Other Name | REBECCA L DAVIDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KY KY365) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-177390) |
Enumeration Date | 2019-09-18 |
Last Update Date | 2024-11-22 |