NPI | 1104054055 |
---|---|
Former Name | CLARE SIOBHAN O'GRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 18376) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004288A) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2015-12-15 |