| NPI | 1831639954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMICA SHEILA LAWSON CEO 973-985-8382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00486800) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |