| NPI | 1578937736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSENI D PEASE Ap RN 203-826-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 005774) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |