NPI | 1982243903 |
---|---|
Former Name | JENNA ELIZABETH HANSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 542) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MN R-193011-1) |
Enumeration Date | 2019-12-23 |
Last Update Date | 2023-07-19 |