| NPI | 1740430560 |
|---|---|
| Former Name | MARLENE MICHELLE LADD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AR A03153 APN) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: AR R20481) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2013-12-12 |