| NPI | 1467517680 | 
|---|---|
| Former Name | JAIME L HAGERTY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA050775) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002378) | 
| Enumeration Date | 2006-12-27 | 
| Last Update Date | 2025-08-22 |