| NPI | 1487836680 |
|---|---|
| Former Name | HENRIA M DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10700) |
| 225100000X Physical Therapist (Licence: FL 19365) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2023-12-13 |