| NPI | 1790059905 |
|---|---|
| Former Name | O'BELLA SAMILLANO FUSINGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00350400) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |