| NPI | 1821542085 |
|---|---|
| Former Name | LETITIA JOY JUDAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005445) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: 0110005445) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2023-03-17 |