NPI | 1790077550 |
---|---|
Other Name | ELIZABETH TOWNSEND MOUROUZIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: OH 219958) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2011-05-11 |