| NPI | 1770683963 |
|---|---|
| Former Name | MELISSA ANN HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R128720-4) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-03-24 |