| NPI | 1629571849 |
|---|---|
| Former Name | DAWN GUMBITA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN354670) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |