| NPI | 1497564231 |
|---|---|
| Former Name | ALI M PETRIKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71016120A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71016120A) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-14 |