| 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 |