| NPI | 1427549773 |
|---|---|
| Former Name | MICOLE A. LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95014962) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95014962) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28221362A) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 95014962) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IN 71007988A) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-10-30 |