| NPI | 1013260850 |
|---|---|
| Former Name | ERICA HAGERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND 732) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2020-09-28 |