| NPI | 1134529118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA L. GRAY-MICELI CEO/Administrator 609-790-2327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |