Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 231632 | MA |
NPI | 1023226172 |
---|---|
Provider Name | Aimee Calista Knorr |
First Address | Boston, MA 02116-1448 |
Second Address | Winchester, MA 01890-1446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 21/05/2009 |