NPI | 1053754333 |
---|---|
Other Name | LAURIE TOWNSEND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C174538) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 59599) |
Enumeration Date | 2013-04-16 |
Last Update Date | 2023-08-17 |