NPI | 1881426476 |
---|---|
Former Name | MARGARITA LUCAS LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA AG11240019) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 774371) |
Enumeration Date | 2024-08-14 |
Last Update Date | 2024-11-07 |