| NPI | 1093479990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE CATALINA CABANILLAS Manager/Owner 732-407-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2024-02-21 |