| NPI | 1679017933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WALLIS Owner 908-745-9178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00343800) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |