| NPI | 1033328968 |
|---|---|
| Former Name | GWEN E WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME146385) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-7306) |
| 208000000X Pediatrics (Licence: IA 37801) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036-125175) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IA 37801) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-07-13 |