| NPI | 1306816632 |
|---|---|
| Former Name | CYNTHIA LOUISE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0034127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 703885) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2017-01-30 |