| NPI | 1386179125 |
|---|---|
| Former Name | KATHERINE R GREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 74167) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: SC 87678) | |
| 207N00000X Dermatology (Licence: NY 311179-01) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2023-06-30 |