| NPI | 1487944732 |
|---|---|
| Former Name | MARY KATHLEEN POWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: TX R6707) |
| Additional Taxonomies | 2088P0231X (Licence: TX R6707) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2024-01-25 |