| NPI | 1821716416 |
|---|---|
| Former Name | STEPHANIE NICOLE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9465465) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2026-04-22 |