| NPI | 1730447939 |
|---|---|
| Former Name | ELIZABETH MARY HAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0057877) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2023-11-14 |