| NPI | 1740362037 |
|---|---|
| Former Name | JAIME D DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN8099) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 8099) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-08-31 |