| NPI | 1538150107 |
|---|---|
| Former Name | DANNEILLE C HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IL 209004760) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IL 041223102) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-09-13 |