| NPI | 1467525519 |
|---|---|
| Former Name | JULIE A POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WY 16251.0868) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 16821) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-08-14 |