Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 254541 | MA |
NPI | 1043487705 |
---|---|
Provider Name | Mrs. Sarah Ferrari Rotz |
First Address | West Newton, MA 02465-1642 |
Second Address | West Newton, MA 02465 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2008 |
Last Update Date | 13/05/2008 |