| NPI | 1376762062 |
|---|---|
| Professional Name | SUSAN PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301322-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 307413-1) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F390021-1) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2016-04-14 |