| NPI | 1942271770 |
|---|---|
| Former Name | AUDREY LYNN HUDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 43911) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101236331) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2008-11-11 |