| NPI | 1720772601 | 
|---|---|
| Former Name | JUSTINE KAY PETERS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 4005389)  | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KY 4005389)  | 
| Enumeration Date | 2023-06-05 | 
| Last Update Date | 2025-06-24 |