| NPI | 1659810935 |
|---|---|
| Former Name | STEPHANIE GALE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN160287) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN160287) |
| Enumeration Date | 2017-02-19 |
| Last Update Date | 2020-06-15 |