| NPI | 1902878218 |
|---|---|
| Former Name | DEIDRE J HUDSON-STANTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 19084) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2015-10-19 |