| NPI | 1649675620 |
|---|---|
| Former Name | LATONYA E RIDGEWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000759) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2020-02-17 |