| NPI | 1467438978 |
|---|---|
| Former Name | KIMBERLEY DAWN LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 42196) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35076457L) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2016-07-15 |