| NPI | 1861533846 |
|---|---|
| Former Name | KRISTINA MARIE BRAULT RIOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A92778) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2024-06-07 |