| NPI | 1598929192 |
|---|---|
| Former Name | CAMILLE CHRISTINE HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9279833) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9279833) |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2014-09-30 |