NPI | 1891294633 |
---|---|
Former Name | CYNTHIA BARBARA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN233487) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN233487) |
Enumeration Date | 2018-02-07 |
Last Update Date | 2022-03-30 |