| NPI | 1770712788 |
|---|---|
| Former Name | CHRISTINA MARIE HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 63227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6051) |
| 207R00000X Internal Medicine (Licence: CA A145545) | |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2018-04-25 |