| NPI | 1063615474 |
|---|---|
| Former Name | KATHERINE GRACE VENABLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 53503) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 53503) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2019-07-15 |