NPI | 1841296399 |
---|---|
Former Name | KATRINA EILEEN HANSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: HI 947) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: LA 75049) |
363LF0000X Nurse Practitioner, Family (Licence: LA 75049-3289) | |
163W00000X Registered Nurse (Licence: HI 59573) | |
Enumeration Date | 2005-06-21 |
Last Update Date | 2010-10-25 |