| NPI | 1417949066 |
|---|---|
| Former Name | JANET DAVIS LARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 030135) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2016-05-24 |