| NPI | 1699739979 |
|---|---|
| Professional Name | MARY D LILLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CT 000513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT R44024) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2011-07-13 |