| NPI | 1386994036 |
|---|---|
| Former Name | KAMESHA DERDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0036366) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH Pn167655) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2024-09-10 |