| NPI | 1083158976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY CHRISTIANSEN Business Owner 978-448-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2286905) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |