| NPI | 1578954855 |
|---|---|
| Professional Name | TISHA LARSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OR 201910861NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201500780NP-PP) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2021-10-12 |