| NPI | 1497425169 |
|---|---|
| Former Name | KIMBERLY BEARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0031298) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2025-01-30 |