NPI | 1932674298 |
---|---|
Former Name | HILLARY E POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71008464A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71008464A) |
Enumeration Date | 2018-10-12 |
Last Update Date | 2024-11-05 |