| NPI | 1063864783 |
|---|---|
| Former Name | MEGAN TESNOHLIDEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A144640) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-12-29 |