| NPI | 1306549092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE WILHELM Owner 203-214-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-05-19 |