| NPI | 1720765902 |
|---|---|
| Former Name | PHYLLIS A ANTWI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ14856800) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2025-04-09 |