| NPI | 1477580819 |
|---|---|
| Former Name | TABITHA WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 858634) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS R858634) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-03-20 |