| NPI | 1942830781 |
|---|---|
| Other Name | SHANNON POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AL 1-071591) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-12-30 |