| NPI | 1477737526 |
|---|---|
| Former Name | VANESSA LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9103811) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL PA9103811) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2020-08-19 |