NPI | 1437146271 |
---|---|
Former Name | CYNTHIA L DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 75655) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A01268) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2012-06-13 |