| NPI | 1992104673 |
|---|---|
| Former Name | JENNA LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 000-1294228) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC RN1034487) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2022-02-04 |