NPI | 1013287218 |
---|---|
Entity Type | Organization |
Authorized Contact | ELSA L. STONE President 203-239-4627 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 7148307-000) |
Enumeration Date | 2012-01-04 |
Last Update Date | 2012-01-04 |