| NPI | 1649763103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ELIZABETH HUDSON Owner/ Manager/Provider 603-749-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 074094-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2020-07-06 |