NPI | 1245603471 |
---|---|
Former Name | WENDY DEE WELLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 2098) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-302871) |
Enumeration Date | 2015-11-10 |
Last Update Date | 2023-06-01 |