| NPI | 1376959239 |
|---|---|
| Former Name | JESSICA DAYTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.16250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.353185) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-03-28 |