| NPI | 1568527158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALIA VIDUNAS Executive Director 603-225-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2021-03-24 |