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 |