NPI | 1316342165 |
---|---|
Former Name | EMILY POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 08055) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 146313) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2016-11-30 |