| NPI | 1053498824 |
|---|---|
| Former Name | SARAH RAE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R30400) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND TO COME) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-05-23 |