NPI | 1225880024 |
---|---|
Former Name | RUTH ANN BAFFA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11032122) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9504422) |
Enumeration Date | 2024-04-04 |
Last Update Date | 2024-04-04 |