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 |