NPI | 1316711351 |
---|---|
Former Name | CAITLIN L SHEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: NH 073642-21) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA 2346286) |
Enumeration Date | 2023-11-09 |
Last Update Date | 2023-11-09 |