| NPI | 1336167238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE FLIRI Manager 860-536-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-07-20 |