| NPI | 1669879680 | 
|---|---|
| Professional Name | GINNY CROCKETT-MAILLET | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ME 081878)  | 
| Enumeration Date | 2014-11-20 | 
| Last Update Date | 2014-11-20 |