| NPI | 1790923746 |
|---|---|
| Former Name | STEFANIE LYNN PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR MD28951) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |