| NPI | 1063196954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN CATER Owner 617-680-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-21 |