| NPI | 1760302228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA BOWRON Owner, Rendering Provider 203-745-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2026-07-16 |
| Last Update Date | 2026-07-16 |