NPI | 1073929352 |
---|---|
Former Name | SARAH K HUDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.012780) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 670105) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 670105) | |
Enumeration Date | 2014-07-07 |
Last Update Date | 2015-10-16 |