NPI | 1669758678 |
---|---|
Former Name | EVA CATHERINE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 75457) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 91485) |
163W00000X Registered Nurse (Licence: AZ RN136281) | |
363LF0000X Nurse Practitioner Family (Licence: AZ AP4153) | |
Enumeration Date | 2011-10-24 |
Last Update Date | 2011-10-24 |