| NPI | 1932560067 |
|---|---|
| Former Name | TINA LYNN LOUIE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60637603) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-04-26 |