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 |