| NPI | 1790476919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY NICOLE CHARLES Founder/Owner 203-871-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2025-04-15 |