NPI | 1972668754 |
---|---|
Other Name | MARY ELIZABETH POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN2085022) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 5976) |
363L00000X Nurse Practitioner (Licence: FL ARNP2085022) | |
Enumeration Date | 2006-12-22 |
Last Update Date | 2020-10-20 |