| NPI | 1427074251 |
|---|---|
| Former Name | MARSHA M. DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0429792) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2001005647) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-02-27 |