| NPI | 1659651016 |
|---|---|
| Former Name | STACEY POWELL-SMITH; POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990161-NP) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2022-08-23 |