NPI | 1972793503 |
---|---|
Former Name | SARA JANE LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA 60260823) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA 60260834) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2022-11-02 |