NPI | 1427012137 |
---|---|
Former Name | ELIZABETH POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY RN 1046991) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY ARNP 2120P) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2007-07-08 |