Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 155681 | MA |
NPI | 1003961897 |
---|---|
Provider Name | Ms. Kathleen A. Palimeri |
First Address | Boston, MA 02118-2524 |
Second Address | Boston, MA 02118-2524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q43978 | (02) | MA |