NPI | 1780628164 |
---|---|
Former Name | MARGARET MARY HAGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704189060) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4704189060) |
163W00000X Registered Nurse (Licence: MI 4704189060) | |
Enumeration Date | 2006-06-15 |
Last Update Date | 2010-10-05 |