NPI | 1053382143 |
---|---|
Former Name | KARLA M PETERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 169) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R134059-4) |
Enumeration Date | 2006-01-28 |
Last Update Date | 2020-10-02 |