| NPI | 1689280802 |
|---|---|
| Former Name | BERKLEY JUNE PETERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 8037) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA 3532) |
| 231H00000X Audiologist (Licence: VA 2201001869) | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2025-11-21 |