| NPI | 1285330167 |
|---|---|
| Former Name | CARLY LYNN LOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11024184) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11024184) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2024-03-20 |