| NPI | 1588719736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE FLIRI Manager 860-536-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-05-28 |