| NPI | 1255624912 |
|---|---|
| Former Name | CONNIE S. CARUNCHIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71003622A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71003622A) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2014-05-27 |