| NPI | 1477149979 |
|---|---|
| Former Name | GRACE GUOBADIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1023044) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2021-03-05 |