| NPI | 1134136567 |
|---|---|
| Former Name | TRICIA MARY PETRUCELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS013326) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: PA OS013326) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-10-03 |