| NPI | 1720090400 |
|---|---|
| Former Name | CAROLYN J BELLAMAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MT NUR-APRN-LIC-100490) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 27917) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2024-01-29 |