| NPI | 1952549123 |
|---|---|
| Former Name | TINA MOYER HODOWANEC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: PA SP010162) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010162) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2020-08-31 |