NPI | 1982058574 |
---|---|
Former Name | TERESA HANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR.0070049) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65206) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 55663) | |
Enumeration Date | 2016-04-20 |
Last Update Date | 2023-08-21 |