NPI | 1346581766 |
---|---|
Former Name | LAURA LEE RIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MD R195660) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MD R195660) |
Enumeration Date | 2013-03-11 |
Last Update Date | 2015-07-27 |