| NPI | 1679985311 |
|---|---|
| Former Name | KEIRSTEN DAVIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: MI 430111666) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD36202) |
| 207Q00000X Family Medicine (Licence: AL L4014R) | |
| 207Q00000X Family Medicine (Licence: MI 4301116666) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2022-02-04 |