| NPI | 1194910075 |
|---|---|
| Former Name | AMBER RAE WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100348) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 24455) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2023-01-09 |