| NPI | 1366912701 |
|---|---|
| Former Name | ROZLYN GRACE PETERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 7982) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 138969) |
| 207L00000X Anesthesiology (Licence: TN APN0000031389) | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2022-05-27 |