| NPI | 1326765546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER BLESSED AGYEMANG Owner 203-275-9874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2024-08-27 |