| NPI | 1538789193 |
|---|---|
| Former Name | AMBER PETERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2021023273) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2011025064) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 13-115858-122) | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2021-09-14 |