Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 1063 | NH |
NPI | 1114376514 |
---|---|
Provider Name | Krystina Friedlander |
First Address | Exeter, NH 03833-2438 |
Second Address | Hampton, NH 03842-2206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2016 |
Last Update Date | 07/12/2018 |