| NPI | 1114267515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMINA YVONNE WATERS Owner 856-266-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00301600) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |