NPI | 1386843191 |
---|---|
Former Name | MOLLY A. DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 0054398) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA OP60162139) |
208000000X Pediatrics (Licence: NM R-02-2007) | |
Enumeration Date | 2007-07-12 |
Last Update Date | 2019-03-28 |