| NPI | 1164800017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMINATA HOWARD Credentialing COO Rdinator 609-567-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |