| NPI | 1619328663 |
|---|---|
| Former Name | NATHIFA AISHA ST JOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00624800) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 223361862) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2024-09-30 |