NPI | 1154435915 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON GATES Nurse Practitioner 617-667-3940 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 78636) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2024-12-05 |