| NPI | 1184406142 |
|---|---|
| Former Name | SCHYLER BLAKE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34861) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-11-30 |