NPI | 1700076379 |
---|---|
Former Name | DIANA LOUISE BALTODANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA RN498168) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2009-09-22 |