| NPI | 1306113345 |
|---|---|
| Former Name | LUCY ELAINE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 16283) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16283) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2023-10-26 |