| NPI | 1568428373 |
|---|---|
| Former Name | TINA LOUISE NAWROCKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: GA RN150332NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: DC RN1004813ARNP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP2168922) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-08 |