| NPI | 1043852593 |
|---|---|
| Former Name | KIRA ELANA PETERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016787) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9392913) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2022-03-09 |