| NPI | 1174650816 |
|---|---|
| Former Name | KAREN M PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 9015) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 9015) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-07-10 |