| NPI | 1407082506 |
|---|---|
| Former Name | RACHELE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335894) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 335894) |
| 363L00000X Nurse Practitioner (Licence: CT 005849) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2022-10-26 |