| NPI | 1417234360 |
|---|---|
| Former Name | TERRI DENISE DAVIS-MENDOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 11720) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA Lic#438822cert#11720) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2022-02-23 |