| NPI | 1699977694 |
|---|---|
| Former Name | MICHELE M. WELLINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME112784) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 000556) |
| 207QA0505X Family Medicine Adult Medicine (Licence: SC TL31424) | |
| 207QA0505X Family Medicine Adult Medicine (Licence: FL 112784) | |
| 207QA0505X Family Medicine Adult Medicine (Licence: NC 180956) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2019-01-25 |