NPI | 1376840348 |
---|---|
Former Name | LEIGH ANN DAVIDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN134384) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN134384) |
Enumeration Date | 2011-02-27 |
Last Update Date | 2014-10-13 |