| NPI | 1952896342 |
|---|---|
| Former Name | MELANIE HAGERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24415) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185843) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2025-08-19 |