| NPI | 1649522814 |
|---|---|
| Former Name | RUTH A ELDRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002445) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ TAP4662) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2023-03-07 |