NPI | 1588683213 |
---|---|
Former Name | BRONWEN LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 100066-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01758) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024164985) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2020-03-18 |