| NPI | 1922370766 |
|---|---|
| Former Name | PAMELA JEAN DUDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL 9323846) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 1305283) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |