| NPI | 1043860570 |
|---|---|
| Former Name | MEGAN E SHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10004126A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 4903-23) |
| 363A00000X Physician Assistant (Licence: IN 10004126A) | |
| 363AM0700X Physician Assistant, Medical (Licence: WI 4903) | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2023-09-28 |