| NPI | 1992643134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE-MARIE ABDALLAH KHNAIZIR Manager 781-405-3018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2026-03-21 |
| Last Update Date | 2026-03-21 |