| NPI | 1265965149 |
|---|---|
| Former Name | SASHA HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00722300) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00722300) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2021-05-17 |