| NPI | 1265656771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BRENNER Owner 908-771-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00061100) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |