NPI | 1831308576 |
---|---|
Former Name | JILL KATHRYN LYON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35-121869) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 240046) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2013-09-26 |