| NPI | 1942675673 |
|---|---|
| Former Name | SHEENA D HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022003791) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013806) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2022-05-26 |