NPI | 1023072683 |
---|---|
Former Name | SHEA N HELGASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 123958) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2393) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2009-04-28 |