NPI | 1548999402 |
---|---|
Former Name | ALISHA A DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN227089) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN227089) |
Enumeration Date | 2022-06-07 |
Last Update Date | 2022-06-07 |