| NPI | 1629419908 |
|---|---|
| Former Name | KERRIE ROCHELLE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004486A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28172055A) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2025-11-21 |