NPI | 1841816022 |
---|---|
Other Name | MELISSA MARIE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179406) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024179406) |
Enumeration Date | 2020-06-23 |
Last Update Date | 2024-10-29 |