| NPI | 1447642624 |
|---|---|
| Former Name | KATHERINE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN163732) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 7242) | |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2023-12-07 |