| NPI | 1841781473 |
|---|---|
| Former Name | KATHLEEN ELIZABETH HAGENHOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2018030053) |
| Additional Taxonomies | 163WP1700X Registered Nurse, Perinatal (Licence: MO 2011023122) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MO 2018030053) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2023-06-19 |