| NPI | 1518907344 |
|---|---|
| Former Name | GRETA P PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001060A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001060) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-10-28 |