| NPI | 1730774944 |
|---|---|
| Former Name | KIMBERLY BRINCKERHOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017002) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95185521) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-07-25 |