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 |