| NPI | 1417408865 |
|---|---|
| Former Name | DANAE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58585) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 26279) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2024-12-17 |