| NPI | 1194922476 |
|---|---|
| Former Name | TINA M. DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0102202631) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS022293) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0102202631) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2024-03-27 |