| NPI | 1568970861 |
|---|---|
| Former Name | KIMBERLY RAY DOWD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9369675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9369675) |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2020-09-02 |