| NPI | 1275844649 |
|---|---|
| Former Name | KATIE M HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/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 |