Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1043395932 |
---|---|
Provider Name | Eleanor Goddard Daniels |
First Address | Montville, ME 04941-4504 |
Second Address | Belfast, ME 04915-6351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 28/10/2008 |