NPI | 1265843098 |
---|---|
Entity Type | Organization |
Authorized Contact | SUMMER GALECKI Owner 203-912-4507 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 003270) |
Enumeration Date | 2014-05-14 |
Last Update Date | 2014-05-14 |