Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 2284044 | MA |
NPI | 1063829794 |
---|---|
Provider Name | Sarah Nadarajah |
First Address | Boston, MA 02130 |
Second Address | Boston, MA 02130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2014 |
Last Update Date | 08/01/2015 |