NPI | 1770088445 |
---|---|
Former Name | LADONNA MARIE YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005566) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 218902) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2025-10-14 |