| NPI | 1497464507 |
|---|---|
| Former Name | ZINATA DIENGE SANGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023326) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-03-02 |