| NPI | 1497014658 |
|---|---|
| Former Name | COURTNEY LOUISE HAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201810279NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007409) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2019-03-25 |