NPI | 1386879021 |
---|---|
Former Name | KATHERINE MARIANN GROH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 6378120) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD444212) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT195450) | |
Enumeration Date | 2009-05-26 |
Last Update Date | 2015-07-13 |