| NPI | 1710076112 |
|---|---|
| Former Name | EDYTH Z LUDWIGSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 31-88) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3188) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-07-17 |