| NPI | 1154610772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE DAWN FULTON Nurse Practitioner 609-410-7942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NN10281700) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP010784) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |