| NPI | 1346695079 |
|---|---|
| Former Name | JACQUELYN D. LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01081983A) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-06-20 |