| NPI | 1639291057 |
|---|---|
| Former Name | MARYKAY HJORTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 082010334N6) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2014-03-31 |