| NPI | 1346299492 |
|---|---|
| Former Name | LAURIE ANN BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 47700) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301099907) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-05-11 |