| NPI | 1811642309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENA ANGELA MCPHERSON Owner/Authorized Official 860-212-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |