| NPI | 1700060720 |
|---|---|
| Former Name | JULIE M BOOMSMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8862) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 103839) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2022-02-10 |