| NPI | 1952714107 |
|---|---|
| Former Name | JESSICA KOBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 199436) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2024-04-16 |