| NPI | 1063781037 |
|---|---|
| Former Name | KIMBERLEE K GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704225670) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2016-11-18 |