| NPI | 1063645299 |
|---|---|
| Former Name | MICHELL ANN LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DE DN0000227) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: DE DN0000227) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |