NPI | 1275844649 |
---|---|
Former Name | KATIE M HANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G124568) |
Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: IA G124568) |
163W00000X Registered Nurse (Licence: IA 124568) | |
Enumeration Date | 2010-06-30 |
Last Update Date | 2023-08-10 |