| NPI | 1639657273 |
|---|---|
| Former Name | DANA ERIN JUDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 7852) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-09-25 |