NPI | 1821552761 |
---|---|
Professional Name | TARYRSHA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.018789) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.023614) |
Enumeration Date | 2019-01-24 |
Last Update Date | 2021-12-04 |