NPI | 1174024350 |
---|---|
Other Name | LATINA BURKS HUDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2006025679) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2006025679) |
Enumeration Date | 2018-02-23 |
Last Update Date | 2025-07-07 |