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 |