NPI | 1366816555 |
---|---|
Professional Name | JACLYN ANN STARKE LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000891) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000891) |
Enumeration Date | 2015-11-25 |
Last Update Date | 2016-08-12 |