NPI | 1902083454 |
---|---|
Former Name | AMY CHRISTINA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 46219) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 150219) |
363LN0000X Nurse Practitioner, Neonatal (Licence: MO 150219) | |
Enumeration Date | 2008-01-28 |
Last Update Date | 2016-04-20 |