| NPI | 1811331390 |
|---|---|
| Former Name | MONICA SUZANNE HAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: KY 53729) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 53729) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 57.023268) | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2023-12-27 |