NPI | 1316305121 |
---|---|
Former Name | SARI NATSU MATISOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201705731NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201506864RN) |
Enumeration Date | 2016-02-08 |
Last Update Date | 2025-03-04 |