| NPI | 1053587576 | 
|---|---|
| Former Name | STEPHANIE ANNE LEWIS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P2099) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 46556) | 
| Enumeration Date | 2008-05-05 | 
| Last Update Date | 2014-12-18 |