| NPI | 1285604298 |
|---|---|
| Former Name | KIMBERLEE MICHELLE VAN DER KOLK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60237028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 15755) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2023-08-22 |