NPI | 1639458680 |
---|---|
Former Name | REBECCA ANNE POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 23430) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704259865) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 273532) | |
Enumeration Date | 2011-08-09 |
Last Update Date | 2022-02-10 |