NPI | 1275923211 |
---|---|
Former Name | LECHIA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R225396) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD 2019095324) |
Enumeration Date | 2015-01-29 |
Last Update Date | 2021-06-03 |