| NPI | 1073067146 |
|---|---|
| Former Name | KIMBERLY MICHELE PROOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231162) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1019282) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2023-08-23 |