NPI | 1346589421 |
---|---|
Other Name | JENNAH CLAINE LADNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS F1212260) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R880702) |
Enumeration Date | 2013-02-08 |
Last Update Date | 2020-02-05 |