| NPI | 1700379815 |
|---|---|
| Former Name | AMANDA MARIE BELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN338719) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |