| NPI | 1306042569 |
|---|---|
| Former Name | AMY HANTES PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX AP110979) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2019-10-24 |