NPI | 1518391879 |
---|---|
Former Name | AMY MICHELLE DAVILA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 661677) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP124291) |
Enumeration Date | 2013-08-22 |
Last Update Date | 2024-09-26 |