| NPI | 1285688093 |
|---|---|
| Former Name | ANGELA MICHELLE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX Q3226) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX Q3226) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-03-16 |