| NPI | 1689004327 |
|---|---|
| Former Name | CAROL JOY HANSELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000097) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95000097) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95000097) | |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2018-09-17 |