| 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 |