| NPI | 1891096848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI FULLER Advanced Practice Registered Nurse 973-288-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2019-07-17 |