NPI | 1578015582 |
---|---|
Former Name | ALEXIS CHRISTIANNE DAVIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11013039) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11013039) |
Enumeration Date | 2016-10-26 |
Last Update Date | 2022-08-02 |