| NPI | 1164746301 |
|---|---|
| Former Name | JANEIL BELLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD460244) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 69693-20) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2019-05-02 |