| NPI | 1699109108 |
|---|---|
| Former Name | BARBARA MAE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990851-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 990851-NP) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2021-02-17 |