| NPI | 1497484935 |
|---|---|
| Former Name | JENNA BRIA WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 81738) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1024825) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2025-12-01 |