| NPI | 1144804550 |
|---|---|
| Former Name | HOLLY ANNE HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017289) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95017289) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2023-08-16 |