| NPI | 1114146115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA OLSON President 860-485-2761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CT E51604) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |