| NPI | 1962249995 |
|---|---|
| Former Name | KATHY PETERSON, WINDOM, MCLANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WA RN00117082) |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |