| NPI | 1831762780 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARIANA NEGRILA Doctor Of Nursing Practice 203-424-4959  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care | 
| Enumeration Date | 2021-07-19 | 
| Last Update Date | 2021-07-19 |