| NPI | 1043874811 |
|---|---|
| Former Name | DONETA TODD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11002557) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: FL 9275062) |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2023-07-11 |