NPI | 1770551160 |
---|---|
Former Name | VALARI L LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK R0064458) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN139448) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2011-01-26 |