| NPI | 1750850160 |
|---|---|
| Former Name | DIANE KAY HAMBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 94545-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704347418) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |