| NPI | 1053036467 |
|---|---|
| Former Name | TARAHN RENEE HAGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC NP210126550) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC NP210126550) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |