| NPI | 1164954590 |
|---|---|
| Former Name | ALLYSON NICOLE HUDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110005782) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 011005782) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2018-08-29 |