| NPI | 1184378507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA NIMO Doctor Of Nursing Practice 201-519-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2024-10-29 |