| NPI | 1275734931 |
|---|---|
| Former Name | LYNAE MICHELLE LEWIS; LIDDELL; HOOVER; MCGRATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10012855) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-09-15 |