NPI | 1053839423 |
---|---|
Former Name | SHERRY DENISE TIDROSKI LUDWIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: FL RN2811162) |
Enumeration Date | 2017-09-06 |
Last Update Date | 2019-08-21 |