| NPI | 1790325843 |
|---|---|
| Former Name | BERNADETTE ANITA HUDACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11005348) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2362878) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-03-03 |