| NPI | 1891914511 |
|---|---|
| Former Name | CARALEE HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: MA PA2028) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NH 0598) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2018-08-13 |