NPI | 1205154176 |
---|---|
Former Name | ASHLEY L DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP010751) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010751) |
163W00000X Registered Nurse (Licence: PA RN584683) | |
Enumeration Date | 2010-05-17 |
Last Update Date | 2014-11-05 |