NPI | 1306809520 |
---|---|
Other Name | LYN PETERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2005007776) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ID M-8305) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO 43861) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2023-11-27 |