NPI | 1215420369 |
---|---|
Former Name | ANNA M POWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.072691) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-47791) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2025-09-10 |