NPI | 1659336592 |
---|---|
Former Name | PAULA ELAINE LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704159019) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9458767) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9458767) | |
Enumeration Date | 2006-04-20 |
Last Update Date | 2020-12-08 |