| NPI | 1629010616 |
|---|---|
| Former Name | IRENE M PETERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA AP30003921) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 000040132N5) |
| 367A00000X Advanced Practice Midwife (Licence: OR 000040132RN) | |
| 367A00000X Advanced Practice Midwife (Licence: WA RN00076406) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-08-29 |