| NPI | 1639382435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DAVIS DOUGHTY Owner 207-761-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ME R027192) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |