NPI | 1952469017 |
---|---|
Former Name | PELAGIE TARA SNESRUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 3035) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SD CP000487) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MN R1382989) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2019-02-20 |