| NPI | 1134324403 |
|---|---|
| Former Name | PATRICIA L WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD045591) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101243975) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-07-21 |