Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 003274 | CT |
NPI | 1023225687 |
---|---|
Provider Name | Lynda A. Romita |
First Address | Hamden, CT 06518-3691 |
Second Address | Hamden, CT 06518-3691 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 08/07/2007 |