| NPI | 1104271113 |
|---|---|
| Former Name | MEGAN ELIZABETH JERMSTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130349) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 831207) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-05-11 |