NPI | 1790436301 |
---|---|
Former Name | DEANNA MARIE PETERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2709) |
Enumeration Date | 2022-01-14 |
Last Update Date | 2024-01-22 |