| 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 |