| NPI | 1760720635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA E CANNADY Consultant 856-467-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 80401) |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: NJ 80401) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2014-12-12 |