NPI | 1346738853 |
---|---|
Other Name | ALLIE HAGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: DE LG0001155) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0001155) |
Enumeration Date | 2018-04-30 |
Last Update Date | 2024-04-09 |