| NPI | 1407356801 |
|---|---|
| Former Name | MONICA KATHRYN MIMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.022233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022233) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2023-04-14 |