| NPI | 1962417717 |
|---|---|
| Former Name | KATHERINE GRACE MENK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2017-02317) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101241803) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2021-04-02 |