| NPI | 1477194496 |
|---|---|
| Other Name | NICOLE DENISE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R202861) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MD R202861) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-03-10 |