| NPI | 1689122277 |
|---|---|
| Former Name | JULIE KATHRYN POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901462) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2020-08-18 |