| NPI | 1457662454 |
|---|---|
| Former Name | JENNIFER ERIN HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-39080) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125057975) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KS 04-39080) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2016016494) | |
| 207L00000X Anesthesiology (Licence: MO 2016016494) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2016-08-16 |