| NPI | 1124449038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVRIL OTHLYN NOYAN Member 609-585-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00363500) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |