| NPI | 1487885836 |
|---|---|
| Former Name | AMY DAVEZAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 257326) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A115114) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2013-10-21 |