| NPI | 1730344573 |
|---|---|
| Former Name | LANASHIA WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: GA 74140) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101249966) |
| 207Q00000X Family Medicine (Licence: VA 0101249966) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 125.067982) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2024-07-31 |