NPI | 1558514570 |
---|---|
Former Name | SAMANTHA LEIGH POWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3005812) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3005812) |
Enumeration Date | 2008-11-04 |
Last Update Date | 2024-09-14 |