| NPI | 1215193966 |
|---|---|
| Former Name | KIMBERLY BOERSMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 078081) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SD 0682) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2023-02-09 |