| NPI | 1710731385 |
|---|---|
| Former Name | FELICIA R LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209029817) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: IL 041.442484) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2025-04-08 |