NPI | 1407510704 |
---|---|
Other Name | AMANDA S DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1056921) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 904958) |
Enumeration Date | 2021-10-25 |
Last Update Date | 2023-10-17 |