| NPI | 1376002592 |
|---|---|
| Former Name | ABBY TERESE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: GA 92027) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 92027) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-07-01 |