| NPI | 1770855496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MA'SHEIL LATHAM Office Manager 609-567-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00352500) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |