| NPI | 1508128158 |
|---|---|
| Former Name | KATHILEE J DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012283) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA TLRN039071) |
| 363L00000X Nurse Practitioner (Licence: PA SP012283) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 90694) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2015-04-13 |