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 |