| NPI | 1487939104 |
|---|---|
| Former Name | MARY CATHERINE GRATTAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055250) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002753) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA055250) | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2020-08-12 |