Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | ARNP9328934 | FL |
NPI | 1043636152 |
---|---|
Provider Name | Lauren Michelle Hirst |
First Address | Hollywood, FL 33024-8574 |
Second Address | Hollywood, FL 33021-5536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2014 |
Last Update Date | 30/09/2014 |