| NPI | 1114010295 |
|---|---|
| Former Name | MARY MARGARET POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 13202) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 13202) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-02-21 |