NPI | 1528398880 |
---|---|
Former Name | AMBER LEIGH DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 10115) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 169808) |
Enumeration Date | 2010-01-10 |
Last Update Date | 2021-06-14 |