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 |