| NPI | 1982915476 |
|---|---|
| Former Name | KATHARINE RENEE WITHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02004446A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018811) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2022-10-27 |