| NPI | 1306832274 |
|---|---|
| Former Name | TINA M HUDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30006904) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA RN00113328) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2022-01-05 |