| NPI | 1386794022 |
|---|---|
| Former Name | DEBORAH SUE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704118417) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704118417) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2021-10-01 |