| NPI | 1801123435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN HARDING Owner 603-952-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 05735023) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |