NPI | 1306883418 |
---|---|
Other Name | BRENDA R PETERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024131318) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 24131318) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2021-07-21 |