| NPI | 1487644712 |
|---|---|
| Former Name | KELLI MEREDITH MAY DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 03722) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 075341) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2016-09-02 |