NPI | 1275965634 |
---|---|
Former Name | MEGAN MICHELLE HANSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN198740) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN198740) |
Enumeration Date | 2013-08-07 |
Last Update Date | 2022-07-20 |