NPI | 1740855576 |
---|---|
Former Name | CRISTA HARB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 0181282-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2308872) |
Enumeration Date | 2021-05-24 |
Last Update Date | 2023-05-23 |