| NPI | 1598129165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA COLEMAN Owner 609-202-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R221239) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2022-07-21 |