| NPI | 1457724452 |
|---|---|
| Former Name | CARRIE ANN HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: UT 6922421-4810) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |