| NPI | 1265700488 |
|---|---|
| Former Name | KATRINA DANIELLE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.12848) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.12848-NP) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2020-08-28 |