| NPI | 1619173796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE ANN GIRARD Office Manager 860-645-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 002925) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-02-28 |