| NPI | 1912798471 |
|---|---|
| Former Name | ALISHA POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0009122) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 66368) |
| 363A00000X Physician Assistant (Licence: NM PA2025-0044) | |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |