| NPI | 1306159306 |
|---|---|
| Former Name | JENNIFER HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71003428A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28180192A) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2026-05-20 |