| 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 |