NPI | 1003327768 |
---|---|
Former Name | ALLISON JUDY LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95127147) |
Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: CA 95127147) |
Enumeration Date | 2017-10-19 |
Last Update Date | 2018-03-17 |