Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 494511 | CA |
NPI | 1003955469 |
---|---|
Provider Name | Maureen Mcgrath |
First Address | San Francisco, CA 94143-0606 |
Second Address | San Francisco, CA 94158-2334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 06/05/2013 |