| NPI | 1376748103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE L JACKSON Program Assistant 732-235-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP1700X Nurse Practitioner, Perinatal (Licence: NJ NR05721700) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |