NPI | 1417213638 |
---|---|
Former Name | KATIE A DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AL 37033) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL 37033) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2025-08-06 |