NPI | 1194359786 |
---|---|
Former Name | MEGAN ALLISON POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-152736) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL Fo1201290) |
Enumeration Date | 2020-02-24 |
Last Update Date | 2021-09-13 |