| NPI | 1043648090 |
|---|---|
| Former Name | LYNNE PUTNAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IL 041.240560) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: IL 041.240560) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |