| NPI | 1194811794 |
|---|---|
| Former Name | LAURA BRIDGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 12657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 576727) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-09-24 |