| NPI | 1588991533 |
|---|---|
| Former Name | AMY PETROSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9300175) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9300175) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2021-03-25 |