| NPI | 1174137434 |
|---|---|
| Former Name | GRACE NDUNGU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN261116) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2020039628) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-12-18 |