| NPI | 1619603719 |
|---|---|
| Former Name | JENNIFER BELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021128) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010001) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-07-29 |