| NPI | 1417737313 | 
|---|---|
| Former Name | REBECCA L FURTADO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0034005)  | 
| Enumeration Date | 2023-09-29 | 
| Last Update Date | 2023-10-02 |