| NPI | 1841625183 |
|---|---|
| Former Name | MARY NYQUIST HANNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-104432) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN233370) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2022-07-21 |