| NPI | 1467517680 |
|---|---|
| Former Name | JAIME L HAGERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA002378) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA050775) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-09-30 |