NPI | 1396100020 |
---|---|
Professional Name | JOANNE STEPHANIE PETERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00592600) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2017-01-01 |