| NPI | 1427035237 |
|---|---|
| Former Name | STEPHANIE ANNE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11590) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX PA11590) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2023-08-11 |