| NPI | 1144335332 |
|---|---|
| Former Name | JULIANA LYNN HAGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-10693) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 35135) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-03-07 |