| NPI | 1447449723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE J KRUM Authorized Official 201-265-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00137000) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 081637) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |