NPI | 1578964961 |
---|---|
Entity Type | Organization |
Authorized Contact | ANALIA BAPTISTA GRAY President 203-895-4360 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 005026) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2014-09-11 |