| NPI | 1467075549 |
|---|---|
| Former Name | TRACY HOFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 95202847) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |