| NPI | 1063530574 |
|---|---|
| Former Name | BONNIE S HAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.03158-NA) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |