| NPI | 1245650134 |
|---|---|
| Former Name | KIMBERLY ANN BRUNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23165) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 23165) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2025-07-01 |