Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | NH4927 | NH |
NPI | 1013067297 |
---|---|
Provider Name | Dr. Maria A Davila |
First Address | Hooksett, NH 03106-1621 |
Second Address | Hooksett, NH 03106-1621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D78661 | (02) | NH |