| NPI | 1407004591 |
|---|---|
| Former Name | KATHLEEN MCGRATH |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A18566) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS10174) |
| 207Q00000X Family Medicine (Licence: CO 47853) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2020-11-12 |