| NPI | 1073667135 |
|---|---|
| Former Name | JANELLE DENISE PEDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 47162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD223648) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2025-12-01 |