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 |