| NPI | 1487622379 |
|---|---|
| Former Name | RISHA O'CONNOR RAVEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 036100518) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036100518) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2024-06-07 |