| NPI | 1578602835 |
|---|---|
| Former Name | MARY E. JUDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 047901-23-08) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |