| NPI | 1750796389 |
|---|---|
| Other Name | TENA L FAGERLAND UNGERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 3675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R-176074-7) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2018-03-17 |