| NPI | 1942261995 |
|---|---|
| Former Name | KIMBERLY C BOERSMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 3467) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R7671) |
| 207Q00000X Family Medicine (Licence: IL 036-111283) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2021-03-02 |