| NPI | 1376862094 |
|---|---|
| Former Name | SKYE ALEXANDRA NICOLE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR DO191664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60367007) |
| 208M00000X Hospitalist (Licence: NM A-1902-15) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2019-03-28 |