| NPI | 1649432204 |
|---|---|
| Former Name | JILL LYNN CHRISTIANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 105398) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-8471) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2011-07-06 |