| NPI | 1700360823 |
|---|---|
| Former Name | KOBI BURNETT PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008921) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2020-10-14 |