| NPI | 1750638482 |
|---|---|
| Former Name | CAROLYN VIVEIROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN282087) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: NH 066702-23) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2022-09-26 |