| NPI | 1942741889 |
|---|---|
| Former Name | LADONNA RENEE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22371) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902018) |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2018-03-01 |