| NPI | 1114336955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY TABAR CEO 203-752-2816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CT 005700) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |