| NPI | 1982055869 |
|---|---|
| Former Name | MARY MUNOZ DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12621) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 302074) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-04-26 |