| 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 |