Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 038060 | DC |
NPI | 1235123662 |
---|---|
Provider Name | Katherine Laughon Grantz |
First Address | Washington, DC 20010-2927 |
Second Address | Washington, DC 20010-2927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 14/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
062043800 | (05) | DC |
I12450 | (02) | NY |