NPI | 1437616810 |
---|---|
Former Name | TERESA R LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 631865) |
Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: TX 631865) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 631865) | |
Enumeration Date | 2019-02-21 |
Last Update Date | 2019-02-21 |