NPI | 1407208747 |
---|---|
Former Name | CHRISTINA LEE WELLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN21361) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN185588) |
Enumeration Date | 2016-07-11 |
Last Update Date | 2023-07-28 |