| NPI | 1427169093 |
|---|---|
| Former Name | ANNA ALYSE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60208242) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A92744) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-04-15 |