NPI | 1013232073 |
---|---|
Former Name | LAUREN HUDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 5818) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2010-04-02 |
Last Update Date | 2024-05-07 |