NPI | 1508239179 |
---|---|
Former Name | ASHLEY M DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2015030678) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 76921) |
Enumeration Date | 2015-11-04 |
Last Update Date | 2018-05-14 |