| NPI | 1750433462 |
|---|---|
| Former Name | AMY E WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001507A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 1072914) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-02-05 |