| NPI | 1992896054 |
|---|---|
| Former Name | KAREN TERESA PETRINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 139914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 139914) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-05-22 |