NPI | 1487748943 |
---|---|
Other Name | KATRINA CAROL GROVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA G69202) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OR MD19537) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2022-10-18 |