| NPI | 1689653974 |
|---|---|
| Other Name | JODI L. WELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA051001) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110001751) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2022-11-29 |