| NPI | 1063612422 |
|---|---|
| Former Name | DONNA B. LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 759014) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS R759014) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2022-03-22 |