| NPI | 1215439294 |
|---|---|
| Former Name | CHRISTINE JANELLE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95010278) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: TX 736552) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-11-07 |