NPI | 1083863179 |
---|---|
Former Name | ANNE L LADD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9104659) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9104659) |
Enumeration Date | 2008-09-12 |
Last Update Date | 2020-05-19 |