| NPI | 1578334595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOHANA AFROZ PARADISE Authorized Official/Owner 781-691-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-16 |