| NPI | 1114336658 |
|---|---|
| Former Name | ANN GRACE ABRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95007343) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2023-06-27 |