| NPI | 1194460014 |
|---|---|
| Former Name | MARTHA MARIE DAVILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1076804) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX 1076804) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-04 |