NPI | 1174850572 |
---|---|
Former Name | KELLY ANN BOROFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.09964) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020807) |
Enumeration Date | 2009-11-06 |
Last Update Date | 2023-12-04 |