| NPI | 1659069706 |
|---|---|
| Former Name | ADDIE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.033771) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2025-07-09 |