| NPI | 1487817466 |
|---|---|
| Former Name | CHANTAL D LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101245466) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC md038499) |
| 207Q00000X Family Medicine (Licence: MD d0069954) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2020-04-11 |