| NPI | 1326880626 |
|---|---|
| Former Name | ALLISON SHEA MAZZOTTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 080011-21) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2306105) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-07-12 |