| NPI | 1508894528 |
|---|---|
| Former Name | TAMMY L HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP111209) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 541827) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-12-20 |