NPI | 1760750095 |
---|---|
Entity Type | Organization |
Authorized Contact | HERMINA WATERS President 856-266-8033 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00301600) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2011-12-01 |