| NPI | 1861020042 |
|---|---|
| Former Name | RAE-JEAN MICHELLE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1667608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 237141-0) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |