| NPI | 1235320540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA A RAINE Executive Director 574-247-6047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IN 28071850A) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |