NPI | 1558442376 |
---|---|
Former Name | CHRISTINA DANIELLE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 650721) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 650721) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-10-14 |