| NPI | 1093960478 |
|---|---|
| Former Name | LYNN DIOTALEVI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 3846) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003846) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2014-12-11 |