| NPI | 1134222169 |
|---|---|
| Other Name | SHIRLEY KIGHTLINGER POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 16701) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 672043) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-03-07 |