| NPI | 1538581756 |
|---|---|
| Former Name | COLLEEN ELIZABETH AVERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ01142800) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2022-10-04 |