| NPI | 1497112585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI PELOSI Coowner 203-525-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 005149) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12004866) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |