| NPI | 1740232883 | 
|---|---|
| Former Name | JOANN MCGRATH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA UP006355C)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00032200)  | 
| Enumeration Date | 2006-05-17 | 
| Last Update Date | 2015-10-24 |