NPI | 1447458435 |
---|---|
Former Name | MARY W. LAWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 2777) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208D00000X General Practice (Licence: GA 061807) | |
Enumeration Date | 2007-07-11 |
Last Update Date | 2015-07-07 |