NPI | 1295193910 |
---|---|
Former Name | MELISSA SUE SHEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 122605) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9332497) |
Enumeration Date | 2016-02-09 |
Last Update Date | 2024-05-14 |