| NPI | 1497122899 |
|---|---|
| Former Name | CARLY W HODNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 0024172970) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2019-04-01 |