| NPI | 1194807966 |
|---|---|
| Former Name | JEANINE ELAINE DAVIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277-000761) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005498A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277-000761) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-05-05 |