NPI | 1639620958 |
---|---|
Former Name | DANA BELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00679300) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 30307955) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY 30307955) | |
Enumeration Date | 2016-10-21 |
Last Update Date | 2022-02-14 |