| 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 |