NPI | 1730379595 |
---|---|
Former Name | AMANDA M DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: SC 33517) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.201465) |
Enumeration Date | 2007-07-27 |
Last Update Date | 2025-01-14 |