| NPI | 1356517189 |
|---|---|
| Former Name | KRISTIN NICOLE PETERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000715) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2018-06-20 |