NPI | 1598928186 |
---|---|
Former Name | LORI DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 0435908) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407012) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2023-11-06 |