| NPI | 1003952375 |
|---|---|
| Former Name | DIANAH THELMA HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08177800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD21481) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2017-05-04 |