| NPI | 1720772601 |
|---|---|
| Former Name | JUSTINE KAY PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KY 4005389) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-07-27 |