NPI | 1639548936 |
---|---|
Former Name | KAYLA E POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005877A) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28191767A) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2023-11-27 |