| NPI | 1831193358 |
|---|---|
| Former Name | GERRI L HAGADON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704152236) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704152236) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-01-08 |