NPI | 1861552960 |
---|---|
Former Name | MEGAN EWING LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 98-315) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 42313) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2025-03-24 |