| NPI | 1407949985 |
|---|---|
| Former Name | KIMBERLY BREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA8479) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08479) |
| 363A00000X Physician Assistant (Licence: CO 2204) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-01-18 |