| NPI | 1912480245 |
|---|---|
| Former Name | TINESHA PRINTELLA DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9293754) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN816542) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9293754) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2022-03-02 |