| NPI | 1508470030 |
|---|---|
| Former Name | DIANE CAROL HUDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP022983) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 78163) |
| 163W00000X Registered Nurse (Licence: PA RN245238L) | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2025-06-09 |