| NPI | 1821402405 |
|---|---|
| Professional Name | MARY LILLIAN DOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 37676) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101021066) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2022-07-21 |