| NPI | 1144915034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA VINER Owner / Manager 781-248-6053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-18 |