| NPI | 1114357613 |
|---|---|
| Former Name | CARRIE ELIZABETH HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76185) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 268685) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2013034520) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2024-05-08 |