| NPI | 1790352433 |
|---|---|
| Former Name | MOLLY ELIZABETH LYON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9719) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 9719) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-07-02 |