| NPI | 1659831386 |
|---|---|
| Former Name | CHRISTINE EILEEN DAVENPORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD221691) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61183854) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-08-01 |