| NPI | 1740063544 |
|---|---|
| Former Name | NAOMI LUE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1121091) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |