| NPI | 1043040975 |
|---|---|
| Former Name | JESSICA HAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704330120) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704330120) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2026-01-30 |