| NPI | 1962958835 |
|---|---|
| Former Name | JOANNE M LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F350398-1) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |