| NPI | 1073045423 |
|---|---|
| Former Name | PAMELA HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 145635) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 145635) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-09-11 |