| NPI | 1508967837 |
|---|---|
| Former Name | LAURA J. HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000386) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-000540) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-01-21 |