| NPI | 1285773606 |
|---|---|
| Former Name | REBECCA ARLENE WELLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA08224100) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 232358) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2011-05-04 |