NPI | 1265836605 |
---|---|
Former Name | IRIS A BOSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201405678NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61337493) |
363L00000X Nurse Practitioner (Licence: WA AP61337497) | |
163W00000X Registered Nurse (Licence: OR 201243237RN) | |
Enumeration Date | 2014-10-14 |
Last Update Date | 2025-09-10 |