| NPI | 1174825731 |
|---|---|
| Former Name | SAMANTHA CLAIRE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: CA A110987) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A110987) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2024-05-10 |