| NPI | 1518202753 |
|---|---|
| Former Name | TARRIE ANN DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704144431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704144431) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2024-08-28 |