| NPI | 1386813707 |
|---|---|
| Former Name | CAROLE A. PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 145190-030) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 145190-030) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2014-09-15 |