| NPI | 1831636281 |
|---|---|
| Former Name | LEONA M DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2016037517) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2019007962) | |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2024-09-10 |