| NPI | 1821201062 |
|---|---|
| Former Name | ASHLEY JAQUAY DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.30235) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.30235) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2015-12-11 |