| NPI | 1659816197 |
|---|---|
| Former Name | MARTHA DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-134497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-34497) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 114343) | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2021-08-04 |