| NPI | 1447578711 |
|---|---|
| Former Name | DESIREE HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 9601876-1204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A12715) |
| 207P00000X Emergency Medicine (Licence: OH 34.010668) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2021-01-28 |