| NPI | 1831334366 |
|---|---|
| Former Name | KIMBERLY ADAY PETERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-098803) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2022-04-05 |