| NPI | 1902506918 |
|---|---|
| Doing Business As | MARYAM GULRAIZ |
| Entity Type | Organization |
| Authorized Contact | MARYAM GULRAIZ President 949-620-6397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-03-12 |