| NPI | 1629145776 |
|---|---|
| Former Name | CATHERINE M PETRICEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 516176) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 516176-1) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-06-09 |