| 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 |