| NPI | 1588371322 |
|---|---|
| Former Name | JILL PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: DE LM-0010188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0067963) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-12-05 |