NPI | 1275060329 |
---|---|
Former Name | MAUREEN LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NM MD2022-1152) |
Additional Taxonomies | 208600000X Surgery (Licence: OK 33151) |
Enumeration Date | 2017-05-19 |
Last Update Date | 2024-11-12 |