| NPI | 1548725310 |
|---|---|
| Former Name | NAKIA ANTOINETTE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95011384) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-141525) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2024-04-04 |