| NPI | 1437700556 |
|---|---|
| Former Name | KIMBERLY KIRKHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME cnp201059) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN apn0000026443) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2022-06-07 |