| 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 | 2016-10-10 |