| NPI | 1336175876 |
|---|---|
| Former Name | DEBORAH DUNN HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 35-04-6429) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301047227) |
| 208D00000X General Practice (Licence: HI 7307) | |
| 208D00000X General Practice (Licence: KY TP440) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2011-07-27 |