NPI | 1730356668 |
---|---|
Former Name | GINA M LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9429700) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY F430227-1) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2017-04-10 |