| NPI | 1023256872 |
|---|---|
| Former Name | NINA A. HANES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP013489) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP001707C) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2016-05-26 |