NPI | 1891964508 |
---|---|
Former Name | CATHERINE AVERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA1358) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC1630) |
Enumeration Date | 2008-02-27 |
Last Update Date | 2018-03-14 |