| NPI | 1053709535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL GOLDBERG Owner/Provider 203-247-9636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SH1100X Clinical Nurse Specialist, Holistic (Licence: CT 002713) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380079) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-07 |