| NPI | 1871139402 |
|---|---|
| Former Name | TINEISHA C DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: VA 0024178593) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-03-24 |