NPI | 1407521404 |
---|---|
Former Name | GAIL MARIE JUDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 73573) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9461712) |
163W00000X Registered Nurse (Licence: NY 729432) | |
Enumeration Date | 2021-08-11 |
Last Update Date | 2021-08-11 |