| NPI | 1952672974 |
|---|---|
| Professional Name | LISSA ELISABETH WELLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: VA 11166120) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |