NPI | 1982726154 |
---|---|
Former Name | MICHELLE MARIE HUDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001152732) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024152732) |
363LA2100X Nurse Practitioner, Acute Care (Licence: DC 65346) | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2007-07-08 |