NPI | 1134379811 |
---|---|
Former Name | LORI D POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60053061) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00091351) |
Enumeration Date | 2008-09-30 |
Last Update Date | 2021-04-08 |