NPI | 1184249823 |
---|---|
Former Name | JAMESHA SADA LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0116034239) |
Enumeration Date | 2020-06-09 |
Last Update Date | 2024-06-24 |