| NPI | 1124356415 |
|---|---|
| Former Name | DEBRA LYNN CONNOLLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00795800) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2022-06-17 |