NPI | 1740440502 |
---|---|
Former Name | NICOLE LEE DAVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX R5108) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 14088) |
207R00000X Internal Medicine (Licence: CO DR.0053755) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OR MD158282) | |
Enumeration Date | 2008-06-13 |
Last Update Date | 2019-03-06 |