NPI | 1659680247 |
---|---|
Former Name | ALEXIS LYMAN DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990006-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990006-NP) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2018-10-17 |