| 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 |