NPI | 1356710347 |
---|---|
Former Name | LAUREN DEISENROTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201606691NP-PP) |
Enumeration Date | 2015-09-19 |
Last Update Date | 2024-08-07 |