| NPI | 1023172673 |
|---|---|
| Former Name | REBECCA LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3004449) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71006195A) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2016-04-28 |