NPI | 1417037292 |
---|---|
Former Name | LADONNA K LADD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT RN23096) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT RN23096) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2021-02-04 |