| NPI | 1700229846 |
|---|---|
| Former Name | TRACY HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 62995-20) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 62995-20) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2016-08-01 |