NPI | 1952923310 |
---|---|
Former Name | KIMBERLY JO RANKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0028798) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.471177) |
Enumeration Date | 2020-05-08 |
Last Update Date | 2022-05-04 |