| NPI | 1881352938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA C LIMA Owner 508-561-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2022-07-14 |