| NPI | 1134560634 |
|---|---|
| Former Name | PAMELLA E BRACKENRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00448800) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |