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 |