NPI | 1124808795 |
---|---|
Former Name | EMILIE R HANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP030462) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030462) |
Enumeration Date | 2023-10-02 |
Last Update Date | 2025-02-18 |