Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD19315 | ME |
NPI | 1043456049 |
---|---|
Provider Name | Dr. Winoah Anya Henry |
First Address | Lewiston, ME 04240-7048 |
Second Address | Lewiston, ME 04240-7048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2008 |
Last Update Date | 04/06/2019 |