| NPI | 1457133977 |
|---|---|
| Former Name | LOGAN DAVILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2025-02-26 |