| NPI | 1063597250 | 
|---|---|
| Former Name | LOLETA C SAMUEL-O'GARRO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN10862500)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NN108625)  | 
| 363L00000X Nurse Practitioner (Licence: NJ 26NN108625)  | |
| Enumeration Date | 2006-10-26 | 
| Last Update Date | 2022-05-17 |