| 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 |