| NPI | 1134195910 |
|---|---|
| Former Name | SANDRA MARIE PETRONKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN304068L) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-10-12 |