| NPI | 1518665595 |
|---|---|
| Former Name | GINA MICHELLE HOERIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 582440) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |