NPI | 1497425169 |
---|---|
Former Name | KIMBERLY BEARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH APRN.CNP.0031298) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.340500) |
Enumeration Date | 2021-09-15 |
Last Update Date | 2022-07-19 |