| NPI | 1205239423 |
|---|---|
| Former Name | LAURIE TEFFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201406458NP-PP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201406457RN) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2016-11-18 |