| NPI | 1538633466 |
|---|---|
| Professional Name | AVERY PETRUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006534) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2020-09-17 |