| NPI | 1457720682 |
|---|---|
| Former Name | KATHERINE L GROVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.379296) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2019-01-08 |