| NPI | 1528321650 |
|---|---|
| Former Name | JESSICA LYNN HUDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A191268) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2012016752) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2023-10-17 |