NPI | 1366804866 |
---|---|
Former Name | ALLISON BRITTANY WELLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S0747) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX S0747) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-23 |
Last Update Date | 2021-03-23 |