NPI | 1881247104 |
---|---|
Other Name | KATHY DELOIS KING-DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133606) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 629562) |
Enumeration Date | 2019-07-17 |
Last Update Date | 2020-07-28 |