| NPI | 1972889400 |
|---|---|
| Former Name | AMYELLEN ELIZABETH JORGENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NE 111292) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2016-05-27 |