NPI | 1811943004 |
---|---|
Other Name | CAROL ANN HANSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: KY 28717) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 28717) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2017-11-17 |