| NPI | 1164841318 |
|---|---|
| Former Name | STEPHANIE LYN LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C2-0012754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C2-0012754) |
| 208000000X Pediatrics (Licence: DE C2-0012754) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2018-08-09 |