| NPI | 1548616840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINA SOM Healthcare Provider 201-574-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00453700) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-09-12 |