NPI | 1205090586 |
---|---|
Former Name | LAURA MARIE DEUTSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200950021NP) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200442418RN) |
Enumeration Date | 2008-07-15 |
Last Update Date | 2012-02-08 |