NPI | 1245894492 |
---|---|
Former Name | HELEN BOBBITT POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2022-00139) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 250653) |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: 250653) | |
Enumeration Date | 2019-04-23 |
Last Update Date | 2022-02-23 |