| NPI | 1093959603 |
|---|---|
| Former Name | JESSICA LEE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO2135) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 49578) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2022-07-21 |