| NPI | 1538319645 |
|---|---|
| Former Name | MEARA E PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95002545) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 156362-30) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 3538-33) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2019-08-27 |