NPI | 1861110298 |
---|---|
Former Name | ANNE MARIE HAGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 52-83406-041) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: KS 127604) |
Enumeration Date | 2022-08-22 |
Last Update Date | 2024-07-24 |