| NPI | 1861808750 |
|---|---|
| Former Name | JAMIE KATHRYN PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0991270-NP) |
| Additional Taxonomies | 163WC2100X Registered Nurse Continence Care (Licence: CO RN.0182338) |
| 163WW0000X Registered Nurse Wound Care (Licence: CO RN.0182338) | |
| 163WX1500X Registered Nurse Ostomy Care (Licence: CO RN.0182338) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2025-07-11 |