| NPI | 1184113342 |
|---|---|
| Former Name | JAMIE SUSANNE TOWNSEND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: GA AT001757) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |