NPI | 1790839983 |
---|---|
Other Name | THERESA PERRY HUDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 147556) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 039594) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2025-03-17 |