| NPI | 1366892689 |
|---|---|
| Former Name | LAURIE HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R2446727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001095) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2018-03-17 |