| NPI | 1134448657 |
|---|---|
| Former Name | JEAN MARIE HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MI 5101023759) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q7698) |
| 207V00000X Obstetrics & Gynecology (Licence: IA R-8834) | |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5101023759) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2020-01-21 |