NPI | 1619539145 |
---|---|
Former Name | JILLIAN CHRISTINE HUDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP142087) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142087) |
Enumeration Date | 2019-07-04 |
Last Update Date | 2023-12-21 |