NPI | 1730579855 |
---|---|
Former Name | MEGAN ELIZABETH STRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22224) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172312) |
Enumeration Date | 2015-01-27 |
Last Update Date | 2019-10-10 |