| NPI | 1154665347 |
|---|---|
| Former Name | EMILY LOUISE PETERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.14070-NP) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2021-01-12 |