| NPI | 1689174211 |
|---|---|
| Former Name | HEATHER POWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175868) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-09-20 |