| NPI | 1053510149 |
|---|---|
| Former Name | LYNNETTE HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP1117892) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2023-10-19 |