| 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 |