| NPI | 1881171700 |
|---|---|
| Former Name | KENDRA POWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-131562) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-131562) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2019-05-13 |