| NPI | 1992434740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHANNA BERMAN Authorized Member 551-804-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |