NPI | 1508003039 |
---|---|
Former Name | MEGAN ELIZABETH MCSHEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004300) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053664) |
Enumeration Date | 2009-01-21 |
Last Update Date | 2024-07-31 |