| NPI | 1578312344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICAH W KAGUNGO Family Nurse Practitioner 781-413-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2025-12-18 |