| NPI | 1548630395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA N LILLEY Practitioner/Owner 518-512-5171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 21420118) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 21420118) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |