NPI | 1306506746 |
---|---|
Former Name | AMBER MCGRATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032507) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 111240) |
Enumeration Date | 2021-12-27 |
Last Update Date | 2025-04-14 |