| NPI | 1659747061 |
|---|---|
| Former Name | NATALIE RENEE HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS105607) |
| Additional Taxonomies | 122300000X Dentist (Licence: ID D-4691) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2020-10-26 |