NPI | 1427024272 |
---|---|
Former Name | JULIE L DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 48286) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 48286) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2020-09-28 |