| NPI | 1447473046 |
|---|---|
| Former Name | ANDREA P DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S4285) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2008-00212) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-10-29 |