NPI | 1083977391 |
---|---|
Former Name | DAWN L POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ID NP1370A) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 5985787-4405) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2022-09-20 |