NPI | 1487947164 |
---|---|
Former Name | STEPHANIE LEIGH POWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: MA RN2270935) |
Enumeration Date | 2011-05-27 |
Last Update Date | 2014-03-19 |