| NPI | 1942265517 |
|---|---|
| Former Name | LORNA BRUDIE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL OS10386) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MB08988300) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2018-03-17 |