| NPI | 1790028876 |
|---|---|
| Former Name | ANN MARIE WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS18615) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 008061) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-08-01 |