| NPI | 1669439758 |
|---|---|
| Former Name | KATHERINE MARIE GRINENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704190296) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN278072) |
| 363L00000X Nurse Practitioner (Licence: OH COANP06837) | |
| 363L00000X Nurse Practitioner (Licence: OH RX06837) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2019-03-25 |