NPI | 1205239316 |
---|---|
Former Name | JENNIFER HUDGENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP07945) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07945) |
Enumeration Date | 2014-10-02 |
Last Update Date | 2021-08-05 |