NPI | 1912264151 |
---|---|
Former Name | MALLORY ELIZABETH HUDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 82418) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2016-01087) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2021-01-29 |