| NPI | 1124218466 |
|---|---|
| Former Name | DORESEA L LEWIS-BOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704241492) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704241492) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2025-09-11 |