NPI | 1982915815 |
---|---|
Former Name | VANESSA ANN LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-39221) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010018465) |
2085B0100X Radiology, Body Imaging (Licence: KS 04-39221) | |
Enumeration Date | 2010-06-25 |
Last Update Date | 2016-07-22 |