| NPI | 1407355597 |
|---|---|
| Former Name | CHANNING BOWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: SC 83334) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2022-02-08 |