| NPI | 1508814518 |
|---|---|
| Former Name | KIMBERLY A. WITHROW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 49155) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 49155) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-12-22 |