| NPI | 1942912563 | 
|---|---|
| Other Name | MARIA GILSON SISTROM | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202215296NP-PP) | 
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 098006278rn) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024185761) | |
| Enumeration Date | 2022-12-14 | 
| Last Update Date | 2025-07-29 |