NPI | 1376141101 |
---|---|
Other Name | GINGER PETERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN077342) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012987) |
Enumeration Date | 2020-10-14 |
Last Update Date | 2023-05-25 |