| NPI | 1366766602 |
|---|---|
| Former Name | MARYGRACE CHRISTINE HAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101260349) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 53276-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2018-09-12 |