| NPI | 1194968693 |
|---|---|
| Former Name | CARON C PEDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7572) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: AZ 5882) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2016-11-30 |